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North Dakota rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.80 / $2.80 / $2.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.98 / $2.45 / $2.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $4.25 / $4.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.55 / $5.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $2.80 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.79 / $3.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $2.59 / $3.89